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Home My Public Portal About10536 OLIVE ST_Plumbing__ WORKERS'COMPENSATION DECLARATION RO-0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensatiorl Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) ' Policy No./�T ') Company✓`'_ATie �A� COUNTY OF LOS ANGELES DEPT. OFPUBLICWORKS Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspection ADDRESS department. �Q NUMBER FIXTURE OR ITEM @ FEE LOCALITY �� a�.,►� Date 16 ,v Applicant r '" � WATER CLOSET(TOILET) NEARESyF CERTIFICATE OF EXEMPTION,FROM WORKERS' BATH TUB CROSS ST. �jg,c�� /�Iv COMPENSATION INSURANCE SHOWER I OWNER (This section need not be completed if the work involved by MAIL //� ,L the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS /vJ J 6 � I certify that in the performance of the'work for which this per- ,.. a tc mit is issued, I shall not employ any person in any manner so SINK CITY /� IiTl TEL. NO.��,�/y as to become subject to the Workers'Compensation.Laws. DISHWASHER CONTRACTOR /'� /,V NP114*Aa%e--f Date. Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Corn pen- CITY TEL. NO.4��/3�/L sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. 15 ed. WATER HEATER LICENSE NO. ,16 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. R(20CESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM r OUTLETS ' 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM ' FINAL \( DATION ( i,^, fect. r� HOSE BIB I DATE ' 7 I'=iL} License Number yt6//�C ` Lic..Class � � CL FINAL 0Q Contractor /! 7J� Dotd�/ —�5 BY TOTAL A 74— 117-i�; I am exempt under Sec. L �Fi 74 �(: Q B.BP.C. for this reason Plan check fee tiLr. a CA Date: •PLUMBING PERMIT ISSUING FEE$ �� ? Signature TOTAL FEE 0000-0001 S/13 Ki SINGLE FAMILY - HOME OWNER-BUILDER DECLARATION Plan check applicant M2165 ! PM 4:50 1 hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business'and Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). ► CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Svc. 3097, Civ. C.). Lender's Name Lender's Address I certify that 1 have read this application and state that the ► obbve information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ; above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 7GA667-CE#•817 2-62 C_�w � APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING wS:; JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY r FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z NEESSED BY f WATER HhATER 1.50 (J GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD �- 0 6J 0 i° u W d IA z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER d" 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL ERTY. UTILITY CO.NOTIFIED j SIGNATURE OF FERMI TE FINAL 'J VALIDATION, ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R Lr,o 7 9 L DEC 5 5 D 3.50- • r 76A667-CE#817 2-62cl- APPLICATION FOR PLUMBI PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BJOHNUMDING ANBE SAFETY DIVISION ANOITY NEER ADDRESS WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER' FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 OWNER MAIL �'- BATH TUB 1.25 ADDRESS ' i'!-15hve SHOWER, 1.25 CI /e & TEL. NO. LAVATORY1 CONTRACTOR SINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE [I REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P OCE or Y WATER HEATER 1.50 Q — GAS SYSTEM OUTLETS 1.50 INDUSTRIAL OUTLETS OVER 5 PER SYSTEM .30 WASTE APPROVAL } INS CTION RECORD O o r E; Lu 0. H Z APPROVALS DATE, INSPECTOR'S SIG MI&RE- PERMIT $ 2 00 UNDER SLAB WORK ` ROUGH PLUMBING TOTAL FEE v GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AliPLICATION GAS VENT -/""""-�"'�• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -'� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ..•� �..� _ PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST v _ CO ALIFORNIA R THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL P — UTILITY CO.NOTIFIED S I'GNATU RE OF PERMITT FINAL VALIDATI ROBERT A.WOOD I CK. M.o. cnsH• SUPERVISING MECHANICAL ENG'R Lk o 5 2 9 1 OCT S 5 D 4.5 ON cQ C rY • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208220028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 11290 LT: 5 BL: B UN: .003 I I 10536 OLIVE ST IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917802864 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18585-021-006 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI 1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I I ITENANT: I TOTAL FEES 44.00 [ISSUED ON: PROCESSED BY: PLAN BY: I 1 1 108/22/12 SR 1 (OWNER: TEL. NO: FJNALL.DATE FINAL CODE: [ ILAU, JAY - [ I 4 1 I1b536 OLIVE ST [ I ITEMP 917802864 I IDtSCRIPTION OF WORK li1 INEW MAIN GAS SERVICE FROM METER TO HOUSE [APPLICANT: TEL. NO: I I [ IBERUMEN, GILBERT (562) 577-0472- I [ [ 112239 CREWE ST 1 ISPECIAL CONDITIONS: [ ]NORWALK CA 90650 [ I I I I I ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I 1ABSOLUTE PLUMBING (562) 693-6727- 1 1 [ 16737 BRIGHT AVE G-107 LIC. NO I 1UNDER SLAB WORK I [ I 1WHITTIER CA 90601 743879-C36 *1 I J J I IWATER SERVICE IPLASTIC YIN METAL YIN 1 I [ [ARCHITECT OR ENGINEER: TEL. NO: I I I I I - 1 IROUGH PLUMBING LIC. NO: I I 1 I I 1 1GAs PIPING -up 1 1 I IGAS VENT I I IHOT WATER HEATER 1 I 1 IPLUMBING FIXTURES I I I I 1LAWN SPRINKLERS I I 1 IGAS TEST I I I 1 JUT LITY COMPANY NOTIFIED[ I I 1cWV I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I 1 J• ADDITIONAL DATA ON FILE I I I IMPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208130005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 11290 IT: 5 BL: B UN: .003 10536 OLIVE ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802864 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18585-021-006 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C] I 163 WATER PIPING BR/FIX 9.00 FIX 61.20 1 ITENANT: ITOTAL FEES 89.00 ISSUED ON: PROCESSED BY: PLAN BY: 1 1 1 108/13/ 12 SR 1 OWNER: TEL. NO: ]FFI BY: CODE: ILAU, JAY _ I I 110536 OLIVE ST ITEMP 917802864 I ]DESCRIPTION OF WORK ] ] ]COPPER REPIPE 9 FIXTURES HOSE ONLY (EXISTING WATER MAIN & ] IW.HJ I ]APPLICANT: TEL. NO: ] I I IBERUMEN, GILBERT (562) 693-6727- I I SPECIAL CONDITIONS: ] I CONTRACTOR: TEL. NO: ] ]APPROVALS DATE INSPECTOR SIGNATURE 1 (ABSOLUTE PLUMBING (562) 302-4749- I I I 16737 BRIGHT AVE G-105 LIC. NO IUNDER SLAB WORK I I ] WHITTIER CA 90601 743879-C36 *I I I I ] I IWATER SERVICE ] I IPLASTIC Y/N METAL Y/N I I ] (ARCHITECT OR ENGINEER: TEL. NO: I I I I I I - I IROIIGH PLUMBING LIC. NO: I I 1GAS PIPING IGAS VENT I I I 1 1 1HOT WATER HEATER ] I ] IPLUMBING FIXTURES ] I I 1 1 1LAWN SPRINKLERS 1 I 1 1 1 1GAS TEST ] 1UTILITY COMPANY NOTIFIED] 1 I ICWV I I I 1 1 1GRAY WATER SYSTEM I I I I I I I I I I I I I 1 I I I I I 1* ADDITIONAL DATA ON FILE 1 I I I I I 1 1REPORT ID: DPR263 ROUTE TO: BS0508 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0505030001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11290 LT: 5 BL: B UN: .003 10536 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802864 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-021-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/03/05 JK 10/30/05 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DATE FIN BY: CODE: VELASQUEZ FRED;YOLANDA;CLAUDIA (626) 575-8152- 10536 OLIVE ST //�V-� TEMP 917802864 DESCRIPTION OF WORK PLUMBING FOR THE BATHROOM APPLICANT: TEL. NO: BUMIL CONSTRUCTION COMPANY (626) 401-2777- PO BOX 1529 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BUMIL CONSTRUCTION CO. (626) 401-2777- PO BOX 1529 LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 414634 WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. N0: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS J GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508